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General NPI Number Information
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NPI Number | 1245155381
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Entity Type | Individual
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Provider Name | LINDSAY DODGE
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 8 PRESTIGE CIR STE 100
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City | ALLEN
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State | TX
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Zip | 75002-3432
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Country | US
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Telephone | 972-727-5312
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 BROOK RIDGE AVE
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City | ALLEN
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State | TX
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Zip | 75002-2759
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Country | US
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Telephone | 972-727-5312
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Fax | 972-727-5014
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1181282
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License Number State | TX
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